21 November 2016

Dentistry From One to Five Offices: Part 1 – Why?




Part 1: Why would anyone want five dental practices?

November 2016 – Q & A with Pete Newcomb

Is dentistry an art, science or business? At DTSpade, we’d argue that it is all three.

But every Client decides how much time they can allocate to each. Do you invest in getting better at your craft? Do you invest in the newest equipment or staff training? Do you invest in improving operations, speeding collections or negotiating with insurance?

At best, a single physician can do one or two well. Larger practices can invest in talent to delegate, but that brings another set of challenges. Single physician practices that maintain high standards of customer care are not at any more of a disadvantage than multiple practice operations that sacrifice personal attention.

Continue Reading

21 November 2016

Lease Satisfaction Scores Tougher than CMS’




How FASB and debt markets will grade healthcare organizations’ leases

  • Because of the prevalence of capital leasing for many companies, FASB and IASB have amended accounting guidance (ASC 842) to provide more reporting on lease transactions.
  • IASB and FASB differ on how operating leases will be disclosed and valued on the financial statements. For this purpose, we will focus on the FASB guidelines.
  • The new accounting standards require organizations to recognize all lease obligations (over 12-months) on their balance sheets, to ensure greater transparency in financial reporting.
  • Healthcare providers will need to begin monitoring the potential effect of these changes on their debt-to-capital ratio and related debt covenants.
  • Regulations take effect in 2019 and 2020, but back reporting begins in 2017 (for public companies) and 2018 (for private, non-profit and government organizations), so time is short to understand and manage implementation.
  • Hospitals and health systems will be particularly affected by the new reporting standards due to the capital-intensive nature of healthcare service delivery.
  • Missteps in managing this change can result in loan covenant defaults, souring investor sentiment and/or failure to meet benchmarks.
Continue Reading

21 November 2016

Public Works Can’t Clean up this Mess




How the leases you sign may affect bond ratings

  • FASB and IASB have amended accounting guidance (ASC 842) to provide more transparency for lease transactions.
  • Breaking with tradition of adopting FASB standards, GASB appears poised to adopt the IASB single-lease approach over the FASB method.
  • If that happens, the new accounting standards will require governments to recognize all lease obligations on their balance sheets and monitor the effect of these changes on their debt-to-capital ratio and related bond covenants.
  • GASB has not yet ruled, but evidence suggests that reporting will begin in 2020 (with back reporting beginning in 2018 for most private, government, non-profit agencies).
  • This change is an opportunity to better manage accounts payable for leases and communicate to the market a mastery of good financial governance, or a risk that could negatively affect debt ratings, cost of debt and the availability of credit.
Continue Reading

21 November 2016

No More Leases in the Junk Drawer




How FASB has changed lease accounting and performance bonuses at the same time

  • Because of the prevalence of leasing for many companies, FASB and IASB have amended accounting guidance (ASC 842) to provide more reporting on lease transactions.
  • The new accounting standards require organizations to recognize all lease obligations (over 12-months) on their balance sheets, to ensure greater transparency in financial reporting.
  • Companies will need to begin monitoring the potential effect of these changes on their debt-to-capital ratio and related debt covenants.
  • Regulations take effect in 2019 and 2020, but back reporting begins in 2017 (for public companies) and 2018 (for private, non-profit and government organizations), so time is short to understand and manage implementation.
  • This change is an opportunity to better manage accounts payable for leases and communicate to the market a mastery of good financial governance.
  • Missteps in managing this change can result in loan covenant defaults, souring investor sentiment and/or failure to meet benchmarks.
Continue Reading

15 November 2016

Imagine Our City with Integrity




Dr. Hugh Flax and the Deal that Never Was

For over 25 years, Flax Dental has been a successful business built on excellence in quality care. Dr. Hugh Flax is nationally known through his speaking and has been a contributing commentator on MSNBC, ABC, USAToday and Good Morning America. He’s even served as President of the American Academy of Cosmetic Dentistry, accumulating eight times the annual requirements for continuing education, while developing a staff with a commitment to excellence and learning.

Continue Reading

8 November 2016

Imagine Our City with More Jobs




Osborne Oral & Maxillofacial Surgery Commits to the Community

Osborne Oral & Maxillofacial Surgery has been providing a valuable service to families in the DeKalb County region for over 30 years. Dr. Thomas Osborne provides a diagnosis for oral conditions as well as implants, removal of impacted teeth, cosmetic surgery, and oral bone grafting through a staff of six. Dr. Osborne trained at the Johns Hopkins University and continues his education through the Seattle Study Club.

Continue Reading

8 November 2016

Imagine Atlanta Without a Net




How do you kill three birds with one stone? It doesn’t happen often, but in 2016, DTSpade helped two of the city’s most critical organizations to execute a plan that helped one of Atlanta’s most vital hospitals expand its campus, secure more parking and ensure a long term future for a critical community program. In the same transaction, DTSpade helped Fulton County to lower its operating expenses and provide a better delivery of care to its HIV, STD and Hep-B patient populations. And that’s just the beginning of the story…

Continue Reading

25 October 2016

Imagine Texas Without Tralongo Dental Solutions’ Acquisition of Southern Dental




Southern Dental started as a family-run business and expanded into 10 dental offices throughout Texas. They had considered a sale on and off again for years, but by 2015, the situation had become dire. Without an equity partner and Dental Solutions expertise, the offices wouldn’t make it through the summer.

Continue Reading

1 September 2016

Who’s got a better multiple than Waze? Your Own City.




  • Technology, implementation of that technology and viable financial business models are beginning to align for governments to capitalize on new opportunities.
  • The influx of residents to city centers provides challenges to infrastructure, but also opportunities to mine and monetize data.
  • Traffic continues to be the greatest pain point for residents but also opportunity for relief by utilizing aggregated data.
  • Open Data has unlimited potential to improve cities, offering significant economic value to the community and private investors.
  • The current Achilles heel of Smart Cities is clarity around creation of a viable financial business model that balances the privacy of the citizenry, with an economic return to all parties.
  • Public-Private partnerships appear to be the clearest path forward.
Continue Reading

25 August 2016

OPPORTUNITIES IN DENTISTRY – WHAT IS THE SINGLE BIGGEST OPPORTUNITY IN DENTISTRY TODAY?




The healthcare industry exhibits high profitability, and dentistry is no different as a whole. The dental industry has benefited from favorable demographic trends, technological advances and attention given to the importance in oral hygiene over the past five years.

But running a successful practice isn’t easy. It requires a lot of hard work, dedication by each member of your office staff, and maybe a few steps outside your comfort zone.

Nobody knows the dental industry like the professionals who move it forward every day. We’ve tapped into a pool of dental industry specialists with unique perspectives, to ask for their expert advice on four questions:

  1. What it the single biggest opportunity in dentistry today?
  2. For a Dentist with a typical practice, what is the one thing that they can do to make the practice more valuable?
  3. What separates the best operators from the average dental practice owners?
  4. What is the best advice you’ve ever given or been given?
Continue Reading

About DTSpade

Case Studies